National Provider Identifier Database

GWINNETT CLINIC LTD
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

GWINNETT CLINIC, LTD
3475 PIEDMONT RD NE STE 1150
ATLANTA, GA30305-3003
Phone: 770-995-3300
Fax: 770-995-3307
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Legal Medicine 173000000X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for GWINNETT CLINIC, LTD

NPI Number 1952676496
Legal business name
LBN
GWINNETT CLINIC, LTD
Authorized official DEEP SHAH - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 03/16/2012
Last updated 01/25/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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